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本文引用的文献

1
WHS guidelines for the treatment of pressure ulcers-2023 update.《2023年更新的压力性溃疡治疗WHS指南》
Wound Repair Regen. 2024 Jan-Feb;32(1):6-33. doi: 10.1111/wrr.13130. Epub 2023 Dec 20.
2
Multidisciplinary treatment protocol for ischiatic, sacral, trochanteric or other pressure injuries in people with spinal cord injury: a retrospective cohort study.脊髓损伤患者坐骨、骶骨、转子或其他部位压疮的多学科治疗方案:回顾性队列研究。
Spinal Cord. 2023 Mar;61(3):204-210. doi: 10.1038/s41393-022-00869-9. Epub 2022 Dec 23.
3
SPINE: An Initiative to Reduce Pressure Sore Recurrence.脊柱:一项降低压疮复发率的倡议。
Plast Reconstr Surg Glob Open. 2022 Nov 15;10(11):e4625. doi: 10.1097/GOX.0000000000004625. eCollection 2022 Nov.
4
A Systematic Review Comparing Outcomes of Local Flap Options for Reconstruction of Pressure Sores.系统评价比较局部皮瓣选择用于重建压力性溃疡的结果。
Ann Plast Surg. 2022 Jan 1;88(1):105-113. doi: 10.1097/SAP.0000000000002941.
5
The Incidence of Pressure Ulcers and its Associations in Different Wards of the Hospital: A Systematic Review and Meta-Analysis.医院不同病房压力性溃疡的发生率及其关联:一项系统评价和Meta分析
Int J Prev Med. 2020 Oct 5;11:171. doi: 10.4103/ijpvm.IJPVM_182_19. eCollection 2020.
6
Surgical treatment and strategy in patients with pressure sores: A single-surgeon experience.压疮患者的手术治疗及策略:单中心经验
Medicine (Baltimore). 2020 Oct 30;99(44):e23022. doi: 10.1097/MD.0000000000023022.
7
Clover-Style Fasciocutaneous Perforator Flap for Reconstruction of Massive Sacral Pressure Sores.三叶型筋膜皮瓣游离穿支皮瓣修复巨大骶尾部压疮
Ann Plast Surg. 2021 Jan;86(1):62-66. doi: 10.1097/SAP.0000000000002442.
8
Complications after pressure ulcer surgery - a study of 118 operations in spinal cord injured patients.压力性溃疡手术后的并发症 - 对 118 例脊髓损伤患者手术的研究。
J Plast Surg Hand Surg. 2020 Jun;54(3):145-150. doi: 10.1080/2000656X.2020.1720700. Epub 2020 Jan 31.
9
Treatment and cost of pressure injury stage III or IV in four patients with spinal cord injury: the Basel Decubitus Concept.四名脊髓损伤患者的Ⅲ期或Ⅳ期压疮的治疗及费用:巴塞尔压疮概念
Spinal Cord Ser Cases. 2019 Mar 15;5:30. doi: 10.1038/s41394-019-0173-0. eCollection 2019.
10
Pressure Injury.压疮
Ann Surg. 2020 Apr;271(4):671-679. doi: 10.1097/SLA.0000000000003567.

用于压力性损伤重建的各种皮瓣:一项叙述性综述。

Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review.

作者信息

Bani Assad Shima, Sadri Peyman

机构信息

Department of General Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Anesthesiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

World J Plast Surg. 2025;14(1):3-9. doi: 10.61186/wjps.14.1.3.

DOI:10.61186/wjps.14.1.3
PMID:40453398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12124267/
Abstract

Pressure injury/ulcer is localized damage to the skin and/or underlying tissues primarily caused by prolonged unrelieved pressure, particularly in patients with limited mobility. The increasing incidence of pressure injuries as a result of aging population and growing number of nursing home residents along with the posing socio-economic burden highlights the importance of increasing our understanding of this global problem, and the available preventive and therapeutic strategies. Surgical intervention using flap reconstruction is the mainstay therapy for management of pressure injuries with advanced stages. We present a comprehensive review on various types, indications, advantages and limitations of flaps used in reconstruction of advanced-stage pressure injuries.

摘要

压力性损伤/溃疡是皮肤和/或皮下组织的局部损伤,主要由长期未缓解的压力引起,尤其是在行动不便的患者中。由于人口老龄化和疗养院居民数量增加导致压力性损伤的发病率上升,以及由此带来的社会经济负担,凸显了加深我们对这一全球性问题以及现有预防和治疗策略理解的重要性。使用皮瓣重建的手术干预是晚期压力性损伤管理的主要治疗方法。我们对用于晚期压力性损伤重建的各种皮瓣的类型、适应症、优点和局限性进行了全面综述。